Provider Demographics
NPI:1699225342
Name:FIELDS, YOLANDA (MED, MSW)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:
Last Name:FIELDS
Suffix:
Gender:F
Credentials:MED, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 PINE GLEN DR
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31705-5401
Mailing Address - Country:US
Mailing Address - Phone:229-347-1766
Mailing Address - Fax:
Practice Address - Street 1:609 PINE GLEN DRIVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31705
Practice Address - Country:US
Practice Address - Phone:229-347-1766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-06
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor